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DOWN EAST COMMUNITY HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
DOWN EAST COMMUNITY HOSPITAL (EIN 01-0263198)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-13
IRS object ID
202543179349302674
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-13T08:46:45-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12211 Congress StAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010263198EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Down East Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDOWNBusinessNameControlTxt
Phone2072553356PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Hospital DriveAddressLine1Txt
CityMachiasCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04654ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLynnette ParrPersonNm
Person TitleCFO & COOPersonTitleTxt
Phone2072553356PhoneNum
Signature2025-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph R ByrnePreparerPersonNm
PTINP01289281PTIN
Phone2077752387PhoneNum
Preparation2025-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSteven LailPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Hospital DriveAddressLine1Txt
CityMachiasCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04654ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$64,887,664GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.dech.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionAcute Care Critical Access HospitalActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee415TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$683,205PYContributionsGrantsAmt
CY Contributions Grants$28,064CYContributionsGrantsAmt
PY Program Service Revenue$61,067,667PYProgramServiceRevenueAmt
CY Program Service Revenue$63,708,508CYProgramServiceRevenueAmt
PY Investment Income$507,577PYInvestmentIncomeAmt
CY Investment Income$1,075,222CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$62,258,449PYTotalRevenueAmt
CY Total Revenue$64,811,794CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,686,776PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$32,787,111CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,257,613PYOtherExpensesAmt
CY Other Expenses$27,698,730CYOtherExpensesAmt
PY Total Expenses$62,944,389PYTotalExpensesAmt
CY Total Expenses$60,485,841CYTotalExpensesAmt
PY Revenues Less Expenses-$685,940PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,325,953CYRevenuesLessExpensesAmt
Total Assets BOY$48,054,897TotalAssetsBOYAmt
Total Assets EOY$55,788,811TotalAssetsEOYAmt
Total Liabilities BOY$17,064,024TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,519,703TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$30,990,873NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$35,269,108NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionProvide access to quality healthcare and promote community wellness through the delivery of primary, emergency, and ancillary inpatient and outpatient healthcare. The Hospital strives to improve the overall health of the communities we serve while exceeding customer expectations.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,811,928ExpenseAmt
Revenue$10,165,774RevenueAmt
DescSurgical services to inpatients and outpatients, totaling 2,209 surgeries.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,273,653ExpenseAmt
Revenue$2,849,004RevenueAmt
DescCare for medical/surgical unit patients. Unit provided care to 537 admissions for 2,217 patient days & 15 swing bed admissions for 223 swing bed days.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,653,423ExpenseAmt
Revenue$15,238,341RevenueAmt
DescImaging Services to inpatients and outpatients. 20,915 radiological exams were provided to inpatients and outpatients.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$43,773,587ExpenseAmt
Revenue$35,455,639RevenueAmt
DescVarious other medical services supplied to patients.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$43,773,587TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$35,455,639TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$54,512,591TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document82IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee415EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lynnette ParrBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2072553356PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Hospital DriveAddressLine1Txt
CityMachiasCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04654ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jacqueline O'Clair
Board Chair5.001.25Yes (X)Yes (X)$0$0$0
Judd Bragg
Vice Chair1.501.25Yes (X)Yes (X)$0$0$0
Ian Pratt
Treasurer1.501.25Yes (X)Yes (X)$0$0$0
Nate Martel
Secretary1.501.25Yes (X)Yes (X)$0$0$0
Jack Corrigan
Trustee1.501.25Yes (X)$0$0$0
Michael Hennessey
Trustee1.501.25Yes (X)$0$0$0
Betty Marshall
Trustee1.501.25Yes (X)$0$0$0
Corey Schwinn
Trustee1.501.25Yes (X)$0$0$0
Julie Jordan
Trustee1.501.25Yes (X)$0$0$0
Jody Dennison
Trustee1.501.25Yes (X)$0$0$0
Dwight Perkins
Trustee1.501.25Yes (X)$0$0$0
Tom Moholland
Past Trustee1.501.25Yes (X)$0$0$0
Christian Inegbenijie MD
Past Trustee38.751.25Yes (X)$531,140$0$49,368
Rita Ten MD
Trustee36.001.25Yes (X)$516,607$0$53,274
Steven Lail
CEO38.751.25Yes (X)Yes (X)$416,738$0$39,704
Howard Raymond
Trustee54.751.25Yes (X)$505,553$0$44,999
Lynnette Parr
CFO & COO38.751.25Yes (X)$316,917$0$42,801
Elaine Mau
Physician30.000.00$591,404$0$35,530Yes (X)
Stephen Madigan
Physician40.000.00$472,391$0$43,787Yes (X)
Stephen J Salzer
Physician40.000.00$466,915$0$8,576Yes (X)
Adrian Amin
Physician26.000.00$362,250$0$4,698Yes (X)
Matthew Kerr
Physician40.000.00$340,605$0$15,047Yes (X)
Aziz Massaad MD
Former Trustee30.000.00$985,763$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,506,283TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$337,784TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K54IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medefis
PO Box 5068New YorkNY100875068Temporary Personnel$2,908,757
Down East Medical Associates
PO Box 317MachiasME04654Professional Fees$985,763
Mark Hirschorn
17 Squier LaneKennebunkportME04046Professional Fees$682,015
Virtual Radiological Corp
25983 Network PlaceChicagoIL60673Professional Fees$538,426
Machias Primary Care
PO Box 398MachiasME04654Professional Fees$417,876
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
All Other Contributions$28,064AllOtherContributionsAmt
Total Contributions$28,064TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Net Patient Service Revenue621400$62,280,357$62,280,357
Other Revenue621400$1,428,151$1,333,325$94,826
FieldValueIRS element (for citing)
Total Program Service Revenue$63,708,508TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$768,852TotalRevenueColumnAmt
Exclusion$768,852ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$382,240SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$75,870SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$306,370SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$306,370TotalRevenueColumnAmt
Exclusion$306,370ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,811,794TotalRevenueColumnAmt
Related Or Exempt Func Income$63,613,682RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,170,048ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,517,101TotalAmt
Program Services$1,700,941ProgramServicesAmt
Management And General$816,160ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$23,452,473TotalAmt
Program Services$20,877,964ProgramServicesAmt
Management And General$2,574,509ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$730,842TotalAmt
Program Services$641,584ProgramServicesAmt
Management And General$89,258ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,432,224TotalAmt
Program Services$3,796,625ProgramServicesAmt
Management And General$635,599ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,654,471TotalAmt
Program Services$1,406,300ProgramServicesAmt
Management And General$248,171ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$106,417TotalAmt
Program Services$3,976ProgramServicesAmt
Management And General$102,441ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$115,600TotalAmt
Management And General$115,600ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,600,157TotalAmt
Program Services$10,798,178ProgramServicesAmt
Management And General$801,979ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$59,243TotalAmt
Program Services$25ProgramServicesAmt
Management And General$59,218ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$458,543TotalAmt
Program Services$409,033ProgramServicesAmt
Management And General$49,510ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,248,215TotalAmt
Program Services$2,248,215ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$56,765TotalAmt
Program Services$39,209ProgramServicesAmt
Management And General$17,556ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$358,986TotalAmt
Program Services$358,986ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,222,186TotalAmt
Program Services$2,222,186ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$738,284TotalAmt
Program Services$649,690ProgramServicesAmt
Management And General$88,594ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$7,017,050$7,008,403$8,647
Dues and Subscriptions$1,178,679$1,177,483$1,196
Service Provider Tax$1,032,254$1,032,254
Miscellaneous Expense$506,351$141,539$364,812

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$60,485,841TotalAmt
Program Services$54,512,591ProgramServicesAmt
Management And General$5,973,250ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,687BOYAmt
EOY$1,845EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,560,328BOYAmt
EOY$24,067,799EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,371,836BOYAmt
EOY$4,767,286EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$642,961BOYAmt
EOY$653,602EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$264,078BOYAmt
EOY$372,764EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$51,436,485LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$31,841,226LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,900,632BOYAmt
EOY$19,595,259EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,659,925BOYAmt
EOY$5,088,245EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$953,503BOYAmt
EOY$1,242,011EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$649,947BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$48,054,897BOYAmt
EOY$55,788,811EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,024,313BOYAmt
EOY$5,617,550EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,265,932BOYAmt
EOY$8,784,576EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$791,574BOYAmt
EOY$330,198EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$982,205BOYAmt
EOY$5,787,379EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,064,024BOYAmt
EOY$20,519,703EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,323,414BOYAmt
EOY$33,563,012EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,667,459BOYAmt
EOY$1,706,096EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,990,873BOYAmt
EOY$35,269,108EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,054,897BOYAmt
EOY$55,788,811EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,325,953ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,282NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$50,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$4,738OtherActivitiesAmt
Total Lobbying Expenditures$4,738TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Organization pays dues to local associations, a portion of which are attributable to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,160,424BeginningYearBalanceAmt
Investment Earnings Or Losses$432,386InvestmentEarningsOrLossesAmt
Administrative Expenses$29,558AdministrativeExpensesAmt
End Year Balance$4,563,252EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,867,109BeginningYearBalanceAmt
Investment Earnings Or Losses$320,608InvestmentEarningsOrLossesAmt
Administrative Expenses$27,293AdministrativeExpensesAmt
End Year Balance$4,160,424EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,166,812BeginningYearBalanceAmt
Investment Earnings Or Losses-$272,885InvestmentEarningsOrLossesAmt
Administrative Expenses$26,818AdministrativeExpensesAmt
End Year Balance$3,867,109EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,656,720BeginningYearBalanceAmt
Investment Earnings Or Losses$537,207InvestmentEarningsOrLossesAmt
Administrative Expenses$27,115AdministrativeExpensesAmt
End Year Balance$4,166,812EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,474,337BeginningYearBalanceAmt
Investment Earnings Or Losses$206,918InvestmentEarningsOrLossesAmt
Administrative Expenses$24,535AdministrativeExpensesAmt
End Year Balance$3,656,720EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.20000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.80000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$257,946OtherCostOrOtherBasisAmt
Book Value$257,946BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,076,078OtherCostOrOtherBasisAmt
Depreciation$13,852,745DepreciationAmt
Book Value$11,223,333BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,079,083OtherCostOrOtherBasisAmt
Depreciation$17,084,145DepreciationAmt
Book Value$7,994,938BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,023,378OtherCostOrOtherBasisAmt
Depreciation$904,336DepreciationAmt
Book Value$119,042BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$19,595,259TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Lease Liability$1,284,270
Estimated Third-Party Payor Settlements$4,503,109
FieldValueIRS element (for citing)
Total Liability$5,787,379TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationGrowth of investment to provide earnings that will support operations.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,370TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$96,370NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,822,305TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,776,296DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,009NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,028,683TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,503,812DirectOffsettingRevenueAmt
Net Community Benefit Expns$524,871NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,947,358TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,280,108DirectOffsettingRevenueAmt
Net Community Benefit Expns$667,250NetCommunityBenefitExpnsAmt
Total Expense0.01110TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,388TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,388NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,973TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$79,973NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,430,008TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,430,008NetCommunityBenefitExpnsAmt
Total Expense0.02360TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,546,369TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,546,369NetCommunityBenefitExpnsAmt
Total Expense0.02550TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,493,727TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,280,108DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,213,619NetCommunityBenefitExpnsAmt
Total Expense0.03660TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Reimbursed By Medicare$13,503,812ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$14,028,691CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$524,879MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Down East Community HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Hospital DriveAddressLine1Txt
CityMachiasCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04654ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.dech.orgWebsiteAddressTxt
State License39816StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Down East Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLdech.org/community-health-needs-assessment/OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttp://www.mainechna.orgOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLdech.org/community-health-needs-assessment/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLdech.org/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLdech.org/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLdech.org/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Down East Community HospitalPart V, Section B, Line 5: The 2019 Maine Shared Community Health Needs Assessment was born out of a unique public-private partnership. The partnership began as the OneMaine Health Collaborative in 2007, involving Northern Light Health (formerly Eastern Maine Healthcare Systems), MaineGeneral Health, and MaineHealth. After conversations with the Statewide Coordinating Council for Public Health, the Maine Center for Disease Control and Prevention, an office of the Department of Health and Human Services joined in 2012. In 2013, Central Maine Healthcare joined the group and in 2014 a charter was drafted by all five partners to guide a statewide assessment process. The shared CHNA includes a large set of statistics on health status and risk factors from existing surveillance and health data sets.This 2022 CHNA includes input from a broad set of stakeholders from across the state as facilitated by the Steering Committee, Metrics Committee & Community Engagement Committee. Community outreach and engagement for the Maine Shared CHNA included coordination at the statewide, public health district & county level. In addition to the state-level Community Engagement Committee, a local community engagement planning committee for Washington County planned and implemented the logistics of community forums within the county. The committee was compromised of hospitals, public health district liaisons and a variety of additional partners.
Down East Community HospitalPart V, Section B, Line 6a: The Hospital participated in the statewide community health needs assessment along with the following Maine hospitals:Northern Light Health Member Organizations: Acadia Hospital; Blue Hill Memorial Hospital; Charles A Dean Memorial Hospital; Eastern Maine Medical Center, Inland Hospital, Mercy Hospital; Sebasticook Valley Hospital, Maine Coast Hospital, AR Gould Hospital; Maine Health Affiliated: Southern Maine Healthcare, Maine Medical Center, Spring Harbor, Stephens Memorial Hospital, Franklin Memorial Hospital, Lincoln Health, Waldo County General Hospital, Pen Bay Medical Center; CMHC Affiliated: Bridgton Hospital, Central Maine Medical Center, Rumford Hospital; York Hospital; NE Rehabilitation; St. Mary's Regional Medical Center; Mid Coast Hospital; Maine General Health; Reddington-Fairview General Hospital; Millinocket Regional Hospital; Penobscot Valley Hospital; St. Joseph Hospital; Mayo Regional Hospital; Calais Regional Hospital; Mt. Desert Island Hospital; Cary Medical Center; Houlton Regional Hospital and Northern Maine Medical Center.The Maine Shared Community Health Needs Assessment (Maine Shared CHNA) is a collaboration between Central Maine Healthcare (CMHC), Maine Center for Disease Control and Prevention (Maine CDC), MaineGeneral Health (MGH), MaineHealth (MH), and Northern Light Health (NLH). The vision of the Maine Shared CHNA is to turn health data into action so that Maine will become the healthiest state in the U.S. Down East Community Hospital was an active participant in the process.
Down East Community HospitalPart V, Section B, Line 6b: The Hospital's CHNA was conducted with the following community non-hospital organizations:Aroostook Mental Health Center, Calais Community Hospital, City of Calais Community Caring Collaborative, Community Health & Counseling Services/Mental and Behavioral Health, Community Health & Counseling Services/Home Health & Hospice Community members, Comprehensive Cancer Control Program, Down East Community Hospital, Downeast Public Health District, University of Maine Downeast Rural Health Collaborative Institute, Eastern Area Agency on Aging, Eastport Health Care, Harrington Family Health Center, Healthy Acadia Maine Community Foundation, Maine Department of Health and Human Services, Maine Hospice Council, Maine Mobile Health Program, Maine Seacoast Mission, Maine Senator Marianne Moore, Maine State Police, NextStep Domestic Violence Project, Northern Light Health, Office of Aging and Disability Services, Department of Health and Human Services, Penobscot Community Health Care, Public Health Nursing, Maine Center for Disease Control and Prevention, St. Croix Regional Family Health Center, Strategic Wisdom Partners, Sunrise County Economic Council, UMaine Center on Aging Senior Companion Program, The University of Maine at Machias, US Senator Susan Collins' Office, Washington County Community College.
Down East Community HospitalPart V, Section B, Line 11: DECH addressed the needs in its most recent CHNA by preparing and adopting an implementation strategy. DECH plans to address all priorities identified through the management and budget of community benefit activities. In addition, DECH also takes advantage of partnering with other community plans by participating, supporting or promoting programs which support community health needs. DECH's detailed implementation strategy can be found on the hospital website, www.dech.org.

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a:The senior leadership team, with approval by the board of trustees, manages the community benefit activities of the Hospital. An expense budget is identified annually for community benefit activities. Community benefit activities are reported each year in the Hospital's annual report.
Part III, Line 4:See Pages 11-14 of the attached audited financial statements for footnote disclosure.
Part III, Line 8:Down East Community Hospital is paid by Medicare as a critical access hospitals (CAH). Most inpatient and outpatient services are reimbursed at 101% of reasonable costs. Beginning in 2013, Critical Access Hospitals reimbursement was reduced by 2% due to a Federal sequestration. Physician and practitioner bills are paid for professional Medicare services using the Physician Fee Schedule (PFS). The amount to provide services to Medicare costs more than the revenue generated from services to Medicare patients. We consider direct shortfall the organization sustains for providing these services a community benefit.
Part III, Line 9b:The financial assistance policy that is referred to in the billing & collection policy states that based on the financial assistance level approved, an eligible individual will not be billed for services or any amount not paid by an insurer or medical assistance program if the person has been qualified for financial assistance.
Part VI, Line 2:See Schedule H, Part V, Section C.
Part VI, Line 3:DECH has a financial assistance policy that outlines all the discounted cost opportunities that the Hospital has to offer. The complete financial assistance policy, plain language summary, and free care application is located on the Hospital's website at www.dech.org. Copies of the plain language summary is also posted in all main waiting areas of the facility and satellite locations and full copies of the policy can be obtained per request and without charge. Annually, DECH also advertises its plain language summary in local media outlets.Each patient is given the Hospital's financial assistance policy plain language summary prior to the commencement of each date of service. The summary and contact information to obtain a free care application is also listed on the patient's bill. At every opportunity, the Hospital's billing specialists and financial counselors will communicate our policies to patients after billing and encourage patients to apply for financial assistance. During discussions, if patients are identified to be eligible for other governmental insurances, DECH will assist the patient with the application process if requested by the patient.
Part VI, Line 4:Demographics:Washington County is one of two counties in the Downeast Public Health District. The population of Washington County is 31,491 and 30.8% of the population is 65 years of age or older. The population is predominantly white (90.8%); 2.4% are Hispanic, and 2.1% are two or more races. The median household income is $41,347, over $15,000 less than the state average. The high school graduation rate (84.4%) was lower than the state (87.4%). The percentage of the population with an associate degree or higher was (31.2%) which was lower than the state (41.9%).Quantitative Evidence:In Washington County:The percentage of the population that was uninsured was higher than the state overall (12.9% vs. 7.9%) in 2015-2019.The percentage of the population who reported an inability to access healthcare due to cost was higher than the state overall (13.0% vs. 10.6%) from 2015-2017.The percentage of the population with a usual primary care provider was significantly lower than the state overall (82.4% vs. 87.9%) in 2015-2017.The percentage of the population with a primary care visit to any provider in the past year was significantly lower than the state overall (82.4% vs. 87.9%) in 2015-2017.The percentage of individuals living in poverty was higher than the state (18% vs. 11.8%) and the percentage of children living in poverty was significantly higher than the state (24.6% vs. 13.8%).
Part VI, Line 5:The Hospital furthers its exempt purpose by promoting the health of the community. The board consists of volunteer community members that are elected by the Corporators of the Hospital.The Hospital has an open medical staff where all applicants have the opportunity to obtain membership as long as the guidelines as determined by the medical staff bylaws are met.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Aziz Massaad MD
Former Trustee$985,763$0$0$0$0$0$0$0$0$0$985,763$0$0$0
Elaine Mau
Physician$382,259$0$209,145$0$0$0$18,356$0$17,174$0$626,934$0$0$0
Christian Inegbenijie MD
Past Trustee$511,140$0$20,000$0$0$0$23,033$0$26,335$0$580,508$0$0$0
Rita Ten MD
Trustee$516,607$0$0$0$0$0$22,792$0$30,482$0$569,881$0$0$0
Howard Raymond
Trustee$468,284$0$27,269$0$10,000$0$18,356$0$26,643$0$550,552$0$0$0
Stephen Madigan
Physician$472,391$0$0$0$0$0$21,150$0$22,637$0$516,178$0$0$0
Stephen J Salzer
Physician$466,915$0$0$0$0$0$0$0$8,576$0$475,491$0$0$0
Steven Lail
CEO$403,546$0$11,000$0$2,192$0$16,061$0$23,643$0$456,442$0$0$0
Adrian Amin
Physician$339,750$0$12,500$0$10,000$0$0$0$4,698$0$366,948$0$0$0
Lynnette Parr
CFO & COO$299,670$0$15,000$0$2,247$0$19,228$0$23,573$0$359,718$0$0$0
Matthew Kerr
Physician$328,105$0$12,500$0$0$0$0$0$15,047$0$355,652$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7Bonuses awarded to physicians, CEO and CFO/COO are based on three categories: Retention, RVU, or sign on.
Form 990, Part VII, line 5:Aziz Massaad, Former Trustee, is paid by Down East Medical Associates, an unrelated organization. During calendar year 2024, Down East Community Hospital paid Down East Medical Associates $985,763 for services rendered to Down East Community Hospital. The actual compensation paid to Dr. Massaad by Down East Medical Associates is not known to the Organization. As such, pursuant to the Form 990 instructions, the Organization is reporting the amount paid for services rendered as compensation to Dr. Massaad, and is reporting this amount on Form 990, Part VII, Column D.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Maine Health and Higher Educational Facilities Authority
A01031438456044RUP52019-11-04$6,515,000Finance Rural Health Clinic and Electronic Medical Records System00Yes (1)
Maine Health and Higher Educational Facilities Authority
B0103143842020-10-22$3,910,000Refinancing of USDA Note Payable00Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$1,673,050$7,556,996$523,050$83,200$6,950,746201900Yes (1)Yes (1)
B$540,000$4,186,343$273,100$82,411202000Yes (1)Yes (1)$3,830,832

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
AYes (1)00000
B0000000Yes (1)0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II, Line 3FormAndLineReferenceDesc
ExplanationThe total proceeds of issue listed on line 3 differ from the issue prices listed on Part I due to the amount of premiums of each bond.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Downeast Medical AssociatesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionEntity more than 35% owned by Aziz Massaad, Former TrusteeRelationshipDescriptionTxt
Transaction$985,763TransactionAmt
TransactionIndependent Contractor Agreement for Medical Services RenderedTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Aziz Massaad, Former Trustee, and Rita Ten, current Board Trustee, have a family relationship.
Form 990, Part VI, Section A, line 6The members of the Organization, known as "Corporators," shall be those individuals who are Corporators of Down East Community Hospital as of January 1, 2011, and such other individuals as may be elected to membership in this Corporation by a majority vote of (i) those Corporators present at the Annual Meeting of this Corporation; or (ii) the Board of Trustees. A Corporator is elected for life, unless the Corporator voluntarily resigns, or the Corporator fails to attend two successive annual meetings of the Corporation without prior notice. Additionally, those individuals who are appointed as members of the Active Medical Staff of Down East Community Hospital are eligible to serve as Corporators during the period of their appointment to the Active Medical Staff if so desired.
Form 990, Part VI, Section A, line 7aThe Corporators shall elect the Trustees of this Corporation from a slate of nominees presented by the Nominating Committee in accordance with the provisions of the Bylaws.
Form 990, Part VI, Section B, line 11bThe 990 is reviewed by the CEO and CFO & COO and a copy is provided to the full board before filing.
Form 990, Part VI, Section B, line 12cTo monitor compliance with the conflict-of-interest policy for the Organization, each member of the board of trustees is required annually to submit a conflict-of-interest document and the compliance officer verifies the receipt of these documents. The compliance officer also reviews payments issued to the board of trustees and any contracts in effect with board members. All new employees sign a conflict-of-interest statement at the time of hire.
Form 990, Part VI, Section B, line 15aThe Organization has a CEO Compensation committee. This committee is responsible for evaluating compensation. Committee meetings are documented with minutes. The CEO for the Organization is determined by a vote of the full Board of Trustees and the existence of a legal contract.
Form 990, Part VI, Section C, line 19The financial statements and annual report are made available to the public upon request. The annual report is also available on the hospital website. The Organization's governing documents and conflict of interest policy are not made available to the public.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 2,089,994. Management and general expenses 801,979. Fundraising expenses 0. Total expenses 2,891,973. Professional Fees: Program service expenses 4,349,913. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,349,913. Temporary Personnel: Program service expenses 4,358,271. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,358,271.
Form 990, Part X, Line 10: Land, Buildings, and EquipmentSection 1.263(a)-3(n) Election: Down East Community Hospital 11 Hospital Drive Machias, ME 04654 EIN: 01-0263198 Down East Community Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).
Form 990, Part XI, line 9:Change in Pledge Receivables -50,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Sunrise Healthcare
11 Hospital DriveMachiasME04645222582949Community HealthcareME501(c)(3)Line 7Down East Community HospitalYes (1)
Calais Community Hospital
24 Hospital LaneCalaisME04619862728785HospitalME501(c)(3)Line 3Down East Community HospitalYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Down East Community Condominium AssociationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Hospital DriveAddressLine1Txt
CityMachiasCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04654ZIPCd
FieldValueIRS element (for citing)
EIN464163934EIN
Primary ActivitiesManagement ServicesPrimaryActivitiesTxt
Legal Domicile StateMELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Down East Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$9,860ShareOfTotalIncomeAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Calais Community Hospital
O$806,740Expenses Incurred
Calais Community Hospital
Q$423,395Expenses Incurred
Sunrise Healthcare
Q$74,327Expenses Incurred